FAQ

Frequently Asked Questions

Where are you located?
Our office is located at 1010 Wayne Ave, Suite 410, Silver Spring, MD 20910. Metered parking is available in the garage across the street, or there’s a parking garage available underneath the building that’s priced comparably (around $6/day). We’re also less than a block away from the DC Metro red line.

Is there anything I should do before my appointment?
Yes! In order to maximize your time during the appointment, please log into the patient portal beforehand to sign required consents and complete intake forms to share your past medical history, medications, allergies, etc. You’ll be notified in the weeks leading up to your appointment that the portal is ready to be accessed.

What should I bring to my appointment?
Use your judgment on which medical records that you would like Dr. Zingman to address/ look at during your appointment, which may include clinical notes from anyone you have consulted for your condition (geneticist, rheumatologist, orthopedist, etc.). Primary importance to bring with you to your appointment would be discs of any recent imaging you’ve had done (MRIs, CTs, X-rays). Radiology reports can help, but Dr. Zingman likes to look at actual CDs as well because she takes her own measurements. You can request these back after they are reviewed by Dr. Zingman.

Please wear comfortable clothes, and contact us by phone if you have any further questions.

Do you take insurance?
Unfortunately, we are not able to accept insurance as the time and resources required detract from our ability to spend a maximum amount of time with our patients. Practices who accept insurance typically need to spend short amounts of 1:1 time with their patients in order to stay open. Whereas in order to most effectively treat patients with complex musculo-skeletal systems, more direct 1:1 time with the patient is critical for achieving successful outcomes. Our providers only see one patient at a time rather than stacking appointments on top of one another. We will provide a superbill / detailed receipt you can submit to your insurer for reimbursement if you have out of network benefits and your deductible has been met.

We recommend that you contact your insurance company to verify whether you have out-of-network benefits, whether you’ve met your deductible, and to ask for estimated reimbursement for the codes listed below (illustrative only – actual coding to be determined during the appointment).
 
Reimbursement Codes
What makes PRISM’s Physical Therapy treatment protocol unique?
Most physical therapists work directly with the patient for only a portion of the appointment, then will loosely supervise the patient for the remainder of the appointment while they complete their exercises. At PRISM, our Physical Therapists (PTs) work with the patient 1:1 to provide individualized care/attention to each patient making sure they are performing the activities/exercises correctly and with good neuro-muscular control and activation. Our PTs are trained in techniques such as Feldenkrais and Pilates with emphasis on EDS safety, and teach patients:

• Specific targeted exercises for hypermobility syndromes and not just providing generic PT strengthening exercises that may harm a hypermobile body such as EDS

• How to improve dynamic neuromuscular control and stabilization

• To find the center of their joints to correctly perform movements and activities and break out of compensation patterns

• To understand the connection between breathing and posture for people with EDS

• How to improve specific postural/breath work modalities for EDS

• Conduct isometric exercises and with coaching and cues

What is Muscle Activation Techniques (MAT)?
Muscle Activation Technique (MAT) Is a type of manual therapy (https://muscleactivation.com/) that’s used in our clinic as a way of complementing PT or Osteopathic work. More specifically, MAT is extremely helpful for stabilizing the muscles so that your PT treatments hold much longer. MAT targets the muscular system far differently than many other forms of physical therapy. While most physical therapy modalities directly treat tight muscles as the direct problem, through stretching, massaging, needling and electric stimulation. MAT has a reversal on the current thought process of directly treating a symptom. MAT looks at the nervous system as an incredibly intelligent system of the body which is programmed to recognize instability in a joint or movement. When instability is recognized as a protective mechanism, it tightens up muscles. The MAT hypothesis bases itself on many theories in which it concludes that the muscle tightness or joint dysfunction is secondary to underlying mechanical and/or structural weaknesses. When this tightness is directly addressed there is a potential to be violating the body’s naturally occurring protective mechanism.

Unfortunately at this time MAT is not reimbursable through insurance. While it is a type of manual therapy performed by trained specialists, it’s still mostly unfamiliar to insurance companies. PRISM views the technique to be integral to the success of Dr. Zingman’s treatment protocol, so in the long run we intend to conduct research and demonstrate efficacy. However, that research --> insurance approval process is several years away. The sessions can be included in any FSA / HSA submission using your payment receipt.